Hudgins, William 84244C

(A Ili.; C`���1►IVI� DREDGE & FILL A r3 ` C �D
4 _ Previous permit
__...
G e3 Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coast) Resources Commission in an area of environmental concern pursuant to:
I SA NCAC " '�"`� ��-� _—_ _ Rules attached. ru/General Permit Rules available at the following link: www.deq_nc.gov/CAMAruIes
Applicant Name
Address , c�--C.1
Authorized Agent
Project Location (County): / _
��
Ciry,-�le'I'VA
State �
ZIP" ��
Street Address/State Road/Lot #(s) _ ---- --
Phone # (o i ) ��_� 9` / /
C k �_o' _
Subdivision -
City _ZIP
_-
AffectedW
I- sly`"" 'TA
�ES PTS
Adj. Wtr. Body ._1L- —_�(na an/unk)
p� J
AEC(s): OEA
IHA UW
SPIMA PWS
Closest Mal. Wtr. Body -y `�* —
OR ,. ye /no
PN6_no
Type of Project/ Activity
Shoreline Length
Access Length Ll.�
Pier- (dock) length ` 4 ._
Fixed Platform(s) ! f C.1
Floating Platform(s)
Finger pier(s)
t
Total Platform area '7
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length ... —._
Basin, channel
Cubic yards
Boat ramp _
BoathousBoatlift
Beach Bulldozing
Other -- _
SAV observed: yes no Moratorium: n/a yes no`hV�,
Site Photos: s no
Riparian Waiver Attached: �ye no
A building permi j' oning permit; may b required y:
Permit Conditions _�� _��~'`l'�
I AM AWA E Of STATUTES, CRC RULES AND CONDI
V "S t Wk (-,t- t-A `� k) A (�t V�
b�v
nNc THAT APPLI(TO THIS PROJECT AND REVIEWED COMPLIANCE
A erlt or Applicant PRINTED Name
Sigrature **Please read comp ante statement on b ck of ermit**
Application Fee(s) Check #/Money Orcler
(Scale )
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
r�
Permit 'cer's PRINTED Name )
Signature I
Issuing Date
Expiration Date

4AMA ❑ DREDGE & FILL
z G NERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial Reissue
9 84244
Previous permit
Date previous permit issued
A B CDD
As authorized by the State of North Carolina, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 010 • 1 `Z06) 1-1Rulesattached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name W ( `'. 1, a9 1 i 1 Authorized Agent ` /
Address Project Location (County): /�/V
CityState ZIP e466- Street Address/State Road/Lot #(s)
Phone # (` r 6) tt
Email { (l Ck vi 1 � ccvl- Subdivision
City ZIP
Affected VCW E"" PTA ❑/ES ❑ PTS Adj. Wtr. Body �(naan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body PrA W Y'L/
OR ye /no PN/(5�no
Type of Project/ Activity D� ex
Shoreline Length
Access Length /
Pier (dock) length `,
Fixed Platform(s) l f,
Floating Platform(s) -�
Finger pier(s)
J
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous Boatlift
Beach Bulldozing
Other ,O`
�J
l�
required �y:
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: s no
Riparian Waiver Attached: no
A building perm it'��oning perm may y b
Permit Condition�ts�//
I AM
I
V
STATUTES, CRC RULES AND CONDITIONS THAT APPElf TO THIS PROJECT AND REVIEWED COMPLIANCE STATE
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit" 1,3
Application Fee(s) Check #/Money Order
(Scale"�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit 'cer's PRINTED me
� I 'Z
Signature
31: - I
Issuing Date Expiration Date

o1*0
EC0
A'q ❑CAMA ❑ DREDGE & FILL NO 84244 A B C D
s GENERAL PERMIT Previous permit
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
,r ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Signature
Check #/Money Order Issuing Date
Expiration Date

o1*oiCOA'1& FI CAMA ❑ DREDGE & FILL NO 84244 A B C D
s GENERAL PERMIT Previous permit
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length _
Access Length _
Pier (dock) length
Fixed Platform(s) .
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
gent
X ''❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: 'P No
3. Service Type ❑Priority Mail Express®
! II i O Adult Signature ❑ Registered Maillm
0 Adult Signature Restricted Delivery livery Mail Restricted
❑ Certified Mail® De
❑ Certified Mail Restricted Delivery ❑ Signature ConflrmationTM'
9590 9402 7281 2028 0309 22 p Collect on Delivery ❑ Signature Confirmation
., �: ,�� A6 mhcr frrancfar frnm service labeD ❑ Collect on Delivery Restricted Delivery Restricted Delivery
Wail
7021 2720 0002 4273 1161 Aail Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt

. N .C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: \-(, ,� , L A.`;
Address of Property:
Mailing Address of Owner: c,C):; �_ k. )-a..�,� ,. c ��:� c. ji;e. �C 'c ,,r k C.
vv
Owner's email; ti-> 1\.�r�, ��y�� ;; ,,�; �.��- Owner's Phone#: `� i�'
Agent's Name: �J (k Agent Phonet (\'Ig
Agent's Email: _li IN
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
�l- I DO NOT have objections to this proposal. I DO have objections to this proposal.
��� `� J p p J p p
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback r
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: �� , 'A�G1✓—\ %�U'��'f
Mailing Address ofARPO: �� t'��
, �-,
ARPO's email: ARPO's Phone#: c
3 l �-� I f
Date: I G�' *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

1/8" Graph Paper
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